Simone, Simone J
Simone, Simone J is an sole proprietor health care provider with primary practice located at 10585 Three Rivers Rd Ste C , Gulfport MS 39503-3572. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Simone, Simone J can be contacted via phone (228) 604-0099.Contact Information
Primary practice address
10585 Three Rivers Rd Ste C
Gulfport MS 39503-3572
Phone: (228) 604-0099
Fax: (228) 604-2001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35-591 | Mississippi |
Profile Details
| NPI number | 1508873928 |
|---|---|
| LBN Legal business name | Simone, Simone J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Feb 8th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508873928 | NPPES |
| Mississippi | MEDICAID | 00118696 |
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